Patient Positioning
Patient lies supine with a small pillow under the dorsal aspect of the ankle or patient may seat on the examination table, knee flexed and the plantar surface of the foot on the table.
Probe Positioning
Place the transducer on a longitudinal plane over the joints of the toe of interest.
Note: intraarticular urate depositis, synovitis with hyperemia in a patient with recurrent polyarticular gout
Note: intraarticular urate depositis (on top of the articular cartilage, too), synovitis with synovial proliferation.
Note: intraarticular urate depositis (on top of the articular cartilage, double contour)
Note: intraarticular urate depositis, synovitis with synovial proliferation and periarticular inflammation (doppler signal).
Note: double contour sign in a patient with gout
Note: tophus in a patient with chronic gouty arthritis
Note: acute flare